Individual
SHEILAH WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 MT PLEASANT DR, SCRANTON, PA 18503-1993
(570) 703-2137
Mailing address
22 ELECTRIC ST, PECKVILLE, PA 18452-2156
(570) 904-1818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN106416L
PA
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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